Organization Active NPI

Superior Medical Inc.

  • Durable Medical Equipment & Medical Supplies
  • Mandeville, LA
National Provider Identifier
1104030667
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUPERIOR MEDICAL INC.
Practice address
4 Saint Ann Dr
Mandeville, LA 70471-3265
Phone
(985) 626-6211
Fax
(985) 626-6227
NPI assigned
May 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Betsy Rivas
Title
Ar Director
Phone
(985) 626-6211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

4 Saint Ann Dr
Mandeville, LA 70471-3265

Mailing address

4 Saint Ann Dr
Mandeville, LA 70471-3265
Phone (985) 626-6211

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104030667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SAINT ANN DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713265",
            "telephone_number": "985-626-6211",
            "fax_number": "985-626-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SAINT ANN DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713265",
            "telephone_number": "985-626-6211",
            "fax_number": "985-626-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "AR DIRECTOR",
        "authorized_official_telephone_number": "985-626-6211"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.